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Optimizing Gym Performance: Evaluating the Impact of Nutritional Supplementation on Strength and Endurance in Recreational Gym-Goers
Sandor-Richard Nagy,
Magdalena Mititelu,
Ruxandra-Cristina Marin,
Violeta Popovici,
Annamaria Pallag,
Tunde Jurca
Posted: 06 March 2025
Device-Associated Infections in Adult Intensive Care Units: A Prospective Surveillance Study
Alkmena Kafazi,
Eleni Apostolopoulou,
Eymorfia Andreou,
Alexandra Gavala,
Evagelos Stefanidis,
Fwteini Antwniadou,
Christos Stylianou,
Theodoros Katsoulas,
Pavlos Myrianthefs
Posted: 06 March 2025
Determinants of Mistrust in Digital Health Research and Approaches to Address Them Among Muslim Ethnic Minorities Living in the United Kingdom: A Qualitative Study
Syed Mustafa Ali,
Mohammad Mahin Saiyed,
Aneela McAvoy,
Robert Meckin,
Caroline Jay,
Sabine van der Veer
Background Under-representation of Muslim ethnic minorities and their mistrust in health research are known barriers to achieving digital health equity. Therefore, this study aimed to understand determinants of Muslim communities’ mistrust in digital health research and explore potential approaches to address this and increase their participation in health research. MethodsThis study employed a constructivist grounded theory design, involving focus groups with Muslim ethnic minorities living in the United Kingdom. We conducted nine focus groups in mosques, co-moderated by a digital health researcher and an Imam. Findings Muslim ethnic minorities had several negative perceptions about digital health research, which were mainly influenced by lack of their awareness about the purpose and conduct of research. They felt excluded from health research and did not perceive taking part as beneficial to them or their community. These were exacerbated by how research findings related to Muslim ethnic minorities in the UK were used or shared in public spaces (e.g., by media outlets or healthcare providers). Participants suggested that Imams and mosques could play a role in addressing these negative perceptions by raising awareness among their communities using digital resources (e.g., bite size videos, social media community groups) and during regular gatherings. ConclusionNegative perceptions about health research are common among Muslim communities, which are further exacerbated by the way research findings related to South Asians are discussed in public spaces. Despite this, there is a potential of building the Muslim community’s trust and improve their participation in health research if health researchers work collaboratively with mosques or Imams and leverage community-based networks and resources.
Background Under-representation of Muslim ethnic minorities and their mistrust in health research are known barriers to achieving digital health equity. Therefore, this study aimed to understand determinants of Muslim communities’ mistrust in digital health research and explore potential approaches to address this and increase their participation in health research. MethodsThis study employed a constructivist grounded theory design, involving focus groups with Muslim ethnic minorities living in the United Kingdom. We conducted nine focus groups in mosques, co-moderated by a digital health researcher and an Imam. Findings Muslim ethnic minorities had several negative perceptions about digital health research, which were mainly influenced by lack of their awareness about the purpose and conduct of research. They felt excluded from health research and did not perceive taking part as beneficial to them or their community. These were exacerbated by how research findings related to Muslim ethnic minorities in the UK were used or shared in public spaces (e.g., by media outlets or healthcare providers). Participants suggested that Imams and mosques could play a role in addressing these negative perceptions by raising awareness among their communities using digital resources (e.g., bite size videos, social media community groups) and during regular gatherings. ConclusionNegative perceptions about health research are common among Muslim communities, which are further exacerbated by the way research findings related to South Asians are discussed in public spaces. Despite this, there is a potential of building the Muslim community’s trust and improve their participation in health research if health researchers work collaboratively with mosques or Imams and leverage community-based networks and resources.
Posted: 06 March 2025
Rehabilitation Needs Are Growing in Brazil and Across Its Regions, Including the Underserved: Secondary Analysis of the Global Burden of Disease Study
Rogério Olmedija de Araújo,
Tiótrefis Gomes Fernandes,
Tiago Silva Jesus
Posted: 06 March 2025
From Awareness to Advocacy: The Impact of Social Media on Healthcare Professionals
Asad Ali
Posted: 06 March 2025
Patients with Mental Health Problems and Artificial Intelligence: New Perspectives and Opportunities in Healthcare
Mirela Tushe
Posted: 06 March 2025
The Light and the Dark side of Maternal PKU: Single Centre Experience of Dietary Management and Emergency Treatment Protocol of Unplanned Pregnancies
Claudia Gautiero,
Iris Scala,
Giulia Esposito,
Maria Rosaria Coppola,
Nunzia Cacciapuoti,
Mariagrazia Fisco,
Margherita Ruoppolo,
Pietro Strisciuglio,
Giancarlo Parenti,
Bruna Guida
Maternal phenylketonuria syndrome (MPKUS) is the most serious pregnancy complication of women with phenylketonuria (PKU). High phenylalanine (Phe) levels are indeed embryotoxic for the fetus. A low-Phe diet started before conception and maintained throughout pregnancy ensures optimal blood Phe concentrations (120-360 μmol/L) and pregnancy outcome. Women with unplanned pregnancies are at higher risk of MPKUS and require a rapid and sustained reduction of blood Phe. In this retrospective study, we evaluated the effects of dietary intervention on Phe levels and on clinical parameters of the offspring at birth in a group of patients with PKU. We also describe the fetal outcome of unplanned and untreated PKU mothers. The cohort consisted of 13 patients for a total of 22 pregnancies: 16 successful pregnancies and 6 abortions. Pregnancies were divided into three groups: "Planned Pregnancies, PP (n=5)", "Unplanned Pregnancies, UP (n=6)" and "Unplanned and untreated Pregnancies UT (n=5)". Women in the UP group showed higher levels of Phe than women in the PP group especially during the first trimester. The offspring of the UP group showed no congenital malformations but lower median auxologic parameters at birth compared to PP, although not significantly different. The women in the UT group received the diagnosis of PKU after the birth of a MPKUS offspring. Low-Phe diet is critical to prevent MPKUS especially when started before conception or no later than 10th week of gestation. Intensive effort is necessary to avoid unplanned pregnancies and to identify undiagnosed PKU women at risk of MPKUS.
Maternal phenylketonuria syndrome (MPKUS) is the most serious pregnancy complication of women with phenylketonuria (PKU). High phenylalanine (Phe) levels are indeed embryotoxic for the fetus. A low-Phe diet started before conception and maintained throughout pregnancy ensures optimal blood Phe concentrations (120-360 μmol/L) and pregnancy outcome. Women with unplanned pregnancies are at higher risk of MPKUS and require a rapid and sustained reduction of blood Phe. In this retrospective study, we evaluated the effects of dietary intervention on Phe levels and on clinical parameters of the offspring at birth in a group of patients with PKU. We also describe the fetal outcome of unplanned and untreated PKU mothers. The cohort consisted of 13 patients for a total of 22 pregnancies: 16 successful pregnancies and 6 abortions. Pregnancies were divided into three groups: "Planned Pregnancies, PP (n=5)", "Unplanned Pregnancies, UP (n=6)" and "Unplanned and untreated Pregnancies UT (n=5)". Women in the UP group showed higher levels of Phe than women in the PP group especially during the first trimester. The offspring of the UP group showed no congenital malformations but lower median auxologic parameters at birth compared to PP, although not significantly different. The women in the UT group received the diagnosis of PKU after the birth of a MPKUS offspring. Low-Phe diet is critical to prevent MPKUS especially when started before conception or no later than 10th week of gestation. Intensive effort is necessary to avoid unplanned pregnancies and to identify undiagnosed PKU women at risk of MPKUS.
Posted: 06 March 2025
The Perspective of General Practitioners on the Role and Competences of Nurses During a Euthanasia Process: A Cross-Sectional Study
Dennis Demedts,
Rosalie-Marianne Mathé,
Johan Bilsen
Background: The legalization of euthanasia in Belgium in 2002 has positioned nurses as possible participants in the euthanasia process. However, ethical and legal dilemmas necessitate a clear definition of their roles and competencies in this context. Given that general practitioners (GPs) are the primary medical professionals performing euthanasia, understanding their perspective on the role of nurses is crucial. Aim: This study aims to describe GPs' perceptions of the roles and competencies of nurses during the euthanasia process. The research question addressed is: "What are GPs' views on the roles and competencies of nurses in euthanasia?" Methods: A quantitative, cross-sectional survey was conducted among licensed GPs in Flanders, Belgium. Data were collected via an online survey using Qualtrics and analysed with SPSS Statistics. Ethical approval was obtained from the Medical Ethics Committee of the university. Results: The study included responses from 237 GPs. GPs value the roles and competencies of nurses, recognizing euthanasia as a multidisciplinary process. They acknowledge the critical support nurses provide to patients and their families. GPs assert that the administration of euthanasia medication should remain the exclusive responsibility of the GP. The analysis further indicated that demographic factors did not significantly influence the results. Discussion/Conclusion: GPs in Belgium generally rated the roles and competencies of nurses positively. Enhancing multidisciplinary collaboration, legislating the roles of nurses, and incorporating practical euthanasia training in nursing curricula, e.g. via simulations, are recommended.
Background: The legalization of euthanasia in Belgium in 2002 has positioned nurses as possible participants in the euthanasia process. However, ethical and legal dilemmas necessitate a clear definition of their roles and competencies in this context. Given that general practitioners (GPs) are the primary medical professionals performing euthanasia, understanding their perspective on the role of nurses is crucial. Aim: This study aims to describe GPs' perceptions of the roles and competencies of nurses during the euthanasia process. The research question addressed is: "What are GPs' views on the roles and competencies of nurses in euthanasia?" Methods: A quantitative, cross-sectional survey was conducted among licensed GPs in Flanders, Belgium. Data were collected via an online survey using Qualtrics and analysed with SPSS Statistics. Ethical approval was obtained from the Medical Ethics Committee of the university. Results: The study included responses from 237 GPs. GPs value the roles and competencies of nurses, recognizing euthanasia as a multidisciplinary process. They acknowledge the critical support nurses provide to patients and their families. GPs assert that the administration of euthanasia medication should remain the exclusive responsibility of the GP. The analysis further indicated that demographic factors did not significantly influence the results. Discussion/Conclusion: GPs in Belgium generally rated the roles and competencies of nurses positively. Enhancing multidisciplinary collaboration, legislating the roles of nurses, and incorporating practical euthanasia training in nursing curricula, e.g. via simulations, are recommended.
Posted: 06 March 2025
Lag Associations of Precipitation and Temperature with Seven Types of Ambient Air Pollution Concentrations in the Midwestern United States: A Time Series Analysis
Xinyu Liu,
Jaemin Jeon,
Abigail R Nacht,
Peter S Larson
Posted: 06 March 2025
Evaluating User Safety Aspects of AI-based Systems in Industrial Occupational Safety: A Critical Review of Research Literature
Jaroslava Huber,
Bernhard Anzengruber-Tanase,
Martin Schobesberger,
Michael Haslgrübler,
Robert Fischer-Schwarz,
Alois Ferscha
AI technologies are becoming increasingly prevalent in industrial workplaces, extending their applications beyond productivity to critical areas such as occupational safety. From our perspective, it is important to consider the safety of these AI systems for users already at the research and development stage, rather than only after deployment. Therefore, in this review, we synthesize publications that propose such AI-based safety systems to assess how potential risks are addressed early in their design and prototype stages. Consequently, we explore current advancements in AI-driven, sensor-based, and human-centered applications designed to enhance occupational safety by monitoring compliance, detecting hazards in real time, or assisting users. These systems leverage wearables and environmental sensing to proactively identify risks, support decision-making, and contribute to creating safer work environments. In this paper, we categorize the technologies according to the sensors used and highlight which features are preventive, reactive, or post-incident. Furthermore, we address potential risks posed by these AI applications, as they may introduce new hazards for workers. Through a critical review of current research and existing regulations, we identify gaps and propose key considerations for the safe and ethical deployment of trustworthy AI systems. Our findings suggest that in AI- and sensor-based research applications for occupational safety, some features and risks are considered notably less than others, from which we deduce that while AI is being increasingly utilized to improve occupational safety, there is a significant need to address regulatory and ethical challenges for its widespread and safe adoption in industrial domains.
AI technologies are becoming increasingly prevalent in industrial workplaces, extending their applications beyond productivity to critical areas such as occupational safety. From our perspective, it is important to consider the safety of these AI systems for users already at the research and development stage, rather than only after deployment. Therefore, in this review, we synthesize publications that propose such AI-based safety systems to assess how potential risks are addressed early in their design and prototype stages. Consequently, we explore current advancements in AI-driven, sensor-based, and human-centered applications designed to enhance occupational safety by monitoring compliance, detecting hazards in real time, or assisting users. These systems leverage wearables and environmental sensing to proactively identify risks, support decision-making, and contribute to creating safer work environments. In this paper, we categorize the technologies according to the sensors used and highlight which features are preventive, reactive, or post-incident. Furthermore, we address potential risks posed by these AI applications, as they may introduce new hazards for workers. Through a critical review of current research and existing regulations, we identify gaps and propose key considerations for the safe and ethical deployment of trustworthy AI systems. Our findings suggest that in AI- and sensor-based research applications for occupational safety, some features and risks are considered notably less than others, from which we deduce that while AI is being increasingly utilized to improve occupational safety, there is a significant need to address regulatory and ethical challenges for its widespread and safe adoption in industrial domains.
Posted: 06 March 2025
Impact of Preoperative Conjunctival Vascular Area on Surgical Outcomes in Trabeculectomy with Mitomycin C for Glaucoma: A Comprehensive Analysis
Yasunari Hayakawa,
Takayuki Inada
Purpose; Trabeculectomy with mitomycin C is a key surgical intervention for managing glaucoma when conservative treatments fail. The success of trabeculectomy is influenced by various factors, including preoperative ocular characteristics like conjunctival vascularity. This study aims to explore the relationship between preoperative conjunctival vascular area and post-trabeculectomy outcomes in glaucoma patients. Method; By analyzing the conjunctival vascular density, intraocular pressure (IOP), bleb morphology, laser suture lysis (LSL) frequency, and postoperative eye drops, this research sheds light on the impact of preoperative vascularity on surgical success. Result; Results show that lower preoperative conjunctival vessel density is associated with favorable outcomes, such as better bleb formation and reduced need for postoperative interventions, while higher conjunctival vessel density correlates with complications like hyphema. Conclusion; These findings emphasize the importance of assessing preoperative conjunctival vascularity to optimize trabeculectomy outcomes and personalize treatment strategies for glaucoma patients.
Purpose; Trabeculectomy with mitomycin C is a key surgical intervention for managing glaucoma when conservative treatments fail. The success of trabeculectomy is influenced by various factors, including preoperative ocular characteristics like conjunctival vascularity. This study aims to explore the relationship between preoperative conjunctival vascular area and post-trabeculectomy outcomes in glaucoma patients. Method; By analyzing the conjunctival vascular density, intraocular pressure (IOP), bleb morphology, laser suture lysis (LSL) frequency, and postoperative eye drops, this research sheds light on the impact of preoperative vascularity on surgical success. Result; Results show that lower preoperative conjunctival vessel density is associated with favorable outcomes, such as better bleb formation and reduced need for postoperative interventions, while higher conjunctival vessel density correlates with complications like hyphema. Conclusion; These findings emphasize the importance of assessing preoperative conjunctival vascularity to optimize trabeculectomy outcomes and personalize treatment strategies for glaucoma patients.
Posted: 06 March 2025
Association Between Thyroid Disorder and Vitamin D among Yemeni Patients
Ali Salman Al-Shami,
Ammar Omar
Posted: 06 March 2025
Illuminating the Connection: Breastfeeding, Lactose Intolerance, and Early Life Disease Prevention
Lynda Sedley
Breastfeeding plays a critical role in early-life nutrition, influencing epigenetic mechanisms that shape long-term health outcomes. This research reviews existing literature to explore new connections between quantum biology and human physiology, particularly pertaining to the relationship between breastfeeding, early disease prevention, and lactose intolerance, emphasising the role of light in biological systems and neurological conditions such as motor neuron disease and autism spectrum disorder.By integrating perspectives from nutritional epigenetics, quantum biology, and microbiome research, this study highlights the interconnectedness of biological processes that support infant development and lifelong health.
Breastfeeding plays a critical role in early-life nutrition, influencing epigenetic mechanisms that shape long-term health outcomes. This research reviews existing literature to explore new connections between quantum biology and human physiology, particularly pertaining to the relationship between breastfeeding, early disease prevention, and lactose intolerance, emphasising the role of light in biological systems and neurological conditions such as motor neuron disease and autism spectrum disorder.By integrating perspectives from nutritional epigenetics, quantum biology, and microbiome research, this study highlights the interconnectedness of biological processes that support infant development and lifelong health.
Posted: 06 March 2025
Global Status of Adult Immunization Post COVID-19 Pandemic
Alba Vilajeliu,
Victor Vega,
Randie Gibson,
Francisco Nogareda,
Xiaojun Wang,
Donald Brooks,
Charles Shey Wiysonge,
Osman Niyazi Cakmak,
Osama Mere,
Melanie Marti
Background: Historically, immunization programmes have focused on infants, children, and women of reproductive age. COVID-19 vaccination prompted countries to vaccinate adults. This manuscript provides a global overview of adult immunization post COVID-19 pandemic. Methods: We summarized WHO Strategic Advisory Group of Experts on Immunization (SAGE) recommendations by adult group and analyzed the data reported in 2024 (2023) by WHO Member States (MS) via the WHO/UNICEF electronic Joint Reporting Form on Immunization (eJRF) on national immunization schedules, and from other sources by WHO region and income group. Results: WHO policy recommendations exist for most of the licensed vaccines targeting adults; however, the inclusion in national immunization schedules is higher in high-income (HICs) and middle-income (MICs) countries. For pregnant women, 90% of MS reported vaccination against COVID-19 (65% in low-income countries [LICs]), 63% against tetanus-containing vaccines (73% in LICs), 57% against influenza (4% in LICs), and 21% against pertussis-containing vaccines (all MICs and HICs). For health workers, 91% against COVID-19 (92% in LICs), 59% against influenza (4% in LICs), and 25% against hepatitis B (10% in LICs). For adults with chronic diseases, COVID-19 vaccination data were not available, 58% against influenza, and 23% against pneumococcal disease. For older adults, more than 90% of MS across all income groups reported COVID-19 vaccination, 59% against influenza (8% of LICs versus 89% of HICs), 17% against pneumococcal, and 7% against herpes zoster. Conclusion: The disparities in adult immunization policies across income groups highlight the need to improve access and strengthen vaccination efforts. A life course approach is essential to maximize the full potential of immunization across all ages.
Background: Historically, immunization programmes have focused on infants, children, and women of reproductive age. COVID-19 vaccination prompted countries to vaccinate adults. This manuscript provides a global overview of adult immunization post COVID-19 pandemic. Methods: We summarized WHO Strategic Advisory Group of Experts on Immunization (SAGE) recommendations by adult group and analyzed the data reported in 2024 (2023) by WHO Member States (MS) via the WHO/UNICEF electronic Joint Reporting Form on Immunization (eJRF) on national immunization schedules, and from other sources by WHO region and income group. Results: WHO policy recommendations exist for most of the licensed vaccines targeting adults; however, the inclusion in national immunization schedules is higher in high-income (HICs) and middle-income (MICs) countries. For pregnant women, 90% of MS reported vaccination against COVID-19 (65% in low-income countries [LICs]), 63% against tetanus-containing vaccines (73% in LICs), 57% against influenza (4% in LICs), and 21% against pertussis-containing vaccines (all MICs and HICs). For health workers, 91% against COVID-19 (92% in LICs), 59% against influenza (4% in LICs), and 25% against hepatitis B (10% in LICs). For adults with chronic diseases, COVID-19 vaccination data were not available, 58% against influenza, and 23% against pneumococcal disease. For older adults, more than 90% of MS across all income groups reported COVID-19 vaccination, 59% against influenza (8% of LICs versus 89% of HICs), 17% against pneumococcal, and 7% against herpes zoster. Conclusion: The disparities in adult immunization policies across income groups highlight the need to improve access and strengthen vaccination efforts. A life course approach is essential to maximize the full potential of immunization across all ages.
Posted: 05 March 2025
Association Between Orthorexia and Plant-Based Diets – Understanding the Vicious Cycle
Patrycja Szulc,
Kaja Willich,
Patrycja Gogga
Posted: 05 March 2025
Knowledge, Beliefs, and Treatment Practices for Otitis Media in Malawi: A Community-Based Assessment
Enittah Chikuse,
Derek Jacobs,
Angella Banda,
Julia Toman,
Jenna Vallario,
Danielle Curtis,
J. Zachary Porterfield
Background: Hearing-related disease is a significant cause of disability worldwide. In resource-limited settings, prevention and early detection are critical for preventing severe disease. Understanding what a population knows and believes with regards to hearing health can be critical in identifying knowledge gaps and developing targeted interventions. Objective: To assess community level awareness surrounding hearing health and the use of both modern and traditional treatments for otitis media (OM) to inform education programs. Methods: A retrospective review of clinical records from 52 patients (aged 1-79 years) diagnosed with OM during a 3-day hearing health clinic in Kasungu district, Malawi was conducted. Patients diagnosed with OM during the clinic were invited to provide additional details about their hearing health. Surveys contained open-ended questions to assess knowledge and beliefs regarding the cause of their infection and therapies they had previously used for treatment, including home remedies and prescribed medications from allopathic providers or traditional healers. A WHO adapted survey on hearing knowledge was also administered. Results: Hearing loss was identified in 60% of participants. Otoscopy revealed either bilateral or unilateral drainage in 69% of participants and perforation in 73%. Confidence in understanding the causes and treatments of OM was voiced by 60% of participants and 54% had used home remedies as treatment. Of the 11 home remedies used, none aligned with modern medical practice, and only two were recommended by local herbalists. Conclusions: Hearing-related disease contributes significantly to global disability, particularly in resource-limited settings. Educational campaigns to improve hearing health knowledge offer low-cost yet impactful solutions and implementation via partnerships with community leaders and traditional healers can be critical to addressing hearing health challenges. The use of non-antibiotic antimicrobials should be explored further as these are low-cost and readily available. However, therapeutic alliance between patients and healthcare providers remains crucial.
Background: Hearing-related disease is a significant cause of disability worldwide. In resource-limited settings, prevention and early detection are critical for preventing severe disease. Understanding what a population knows and believes with regards to hearing health can be critical in identifying knowledge gaps and developing targeted interventions. Objective: To assess community level awareness surrounding hearing health and the use of both modern and traditional treatments for otitis media (OM) to inform education programs. Methods: A retrospective review of clinical records from 52 patients (aged 1-79 years) diagnosed with OM during a 3-day hearing health clinic in Kasungu district, Malawi was conducted. Patients diagnosed with OM during the clinic were invited to provide additional details about their hearing health. Surveys contained open-ended questions to assess knowledge and beliefs regarding the cause of their infection and therapies they had previously used for treatment, including home remedies and prescribed medications from allopathic providers or traditional healers. A WHO adapted survey on hearing knowledge was also administered. Results: Hearing loss was identified in 60% of participants. Otoscopy revealed either bilateral or unilateral drainage in 69% of participants and perforation in 73%. Confidence in understanding the causes and treatments of OM was voiced by 60% of participants and 54% had used home remedies as treatment. Of the 11 home remedies used, none aligned with modern medical practice, and only two were recommended by local herbalists. Conclusions: Hearing-related disease contributes significantly to global disability, particularly in resource-limited settings. Educational campaigns to improve hearing health knowledge offer low-cost yet impactful solutions and implementation via partnerships with community leaders and traditional healers can be critical to addressing hearing health challenges. The use of non-antibiotic antimicrobials should be explored further as these are low-cost and readily available. However, therapeutic alliance between patients and healthcare providers remains crucial.
Posted: 05 March 2025
One-Year Changes in Depressive Symptoms and Cognitive Function Among Brazilian Older Adults Attending Primary Care
Fernanda Maria Silva Rivoli,
Antonio Pedro Gabriel Monteiro Galhardo,
Giancarlo Lucchetti,
Lízia Abreu Ésper,
Yan Lyncon Ribeiro,
Gerson Santos,
Helena José,
Luís Sousa,
Gail Low,
Luciano Magalhães Vitorino
Background: Aging is a global phenomenon closely associated to changes in cognitive function and mental health. These conditions substantially burden public health systems and adversely affect the quality of life of older adults. This study aimed to examine changes in depressive symptoms and cognitive function over a 12-month follow-up period in a cohort of Brazilian older adults attending primary care. Methods: This observational, longitudinal study included a randomized sample of individuals aged ≥60 years residing in São Paulo, Brazil, and registered at a Primary Healthcare Unit (PHU). Data collection involved administering a sociodemographic and health questionnaire along with two validated instruments: the Geriatric Depression Scale-15 (GDS-15) and the Mini-Mental State Examination (MMSE). Linear regression models were used for the analyses. Results: A total of 368 older adults were included, being 63% men and with a mean age of 74.65 years. After one year, depressive symptoms showed a notable increase, with the mean GDS-15 score rising from 5.97 to 7.48 (Cohen-d = 0.542). Likewise, there was a decrease in the mean MMSE score ranging from 19.11 to 18.88 (Cohen-d=0.216). Adjusted regression analyses revealed that depressive symptoms at baseline (B = 0.696; p = 0.048; R² = 0.19) and cognitive function at baseline (B = 0.444; p < 0.001; R² = 0.26) were predictive of their respective deteriorations over the follow-up period. Conclusion: Depressive symptoms and cognitive decline place a significant burden on public health systems in aging societies. These findings underscore the importance of continuous monitoring and early intervention strategies to mitigate their impact and enhance the quality of life for older adults.
Background: Aging is a global phenomenon closely associated to changes in cognitive function and mental health. These conditions substantially burden public health systems and adversely affect the quality of life of older adults. This study aimed to examine changes in depressive symptoms and cognitive function over a 12-month follow-up period in a cohort of Brazilian older adults attending primary care. Methods: This observational, longitudinal study included a randomized sample of individuals aged ≥60 years residing in São Paulo, Brazil, and registered at a Primary Healthcare Unit (PHU). Data collection involved administering a sociodemographic and health questionnaire along with two validated instruments: the Geriatric Depression Scale-15 (GDS-15) and the Mini-Mental State Examination (MMSE). Linear regression models were used for the analyses. Results: A total of 368 older adults were included, being 63% men and with a mean age of 74.65 years. After one year, depressive symptoms showed a notable increase, with the mean GDS-15 score rising from 5.97 to 7.48 (Cohen-d = 0.542). Likewise, there was a decrease in the mean MMSE score ranging from 19.11 to 18.88 (Cohen-d=0.216). Adjusted regression analyses revealed that depressive symptoms at baseline (B = 0.696; p = 0.048; R² = 0.19) and cognitive function at baseline (B = 0.444; p < 0.001; R² = 0.26) were predictive of their respective deteriorations over the follow-up period. Conclusion: Depressive symptoms and cognitive decline place a significant burden on public health systems in aging societies. These findings underscore the importance of continuous monitoring and early intervention strategies to mitigate their impact and enhance the quality of life for older adults.
Posted: 05 March 2025
UMAI-WINGS: Evaluating the Effectiveness of Implementing Mhealth IPV Prevention Intervention in Reducing Intimate Partner Violence Among Women from Key Affected Populations in Kazakhstan Using a Community-Based Approach
Assel Terlikbayeva,
Sholpan Primbetova,
Ohshue S. Gatanaga,
Mingway Chang,
Elena Rozental,
Meruert Nurkatova,
Zulfiya Baisakova,
Yelena Bilokon,
Shelly Ester Karan,
Anindita Dasgupta
Women from key affected populations (KAPs) including women who use drugs, women who engage in sex work, and women living with HIV/AIDs in Kazakhstan experience extremely high rates of intimate partner violence (IPV) and encounter a myriad of barriers in accessing IPV services. This community-based implementation trial aimed to evaluate the acceptability, safety, and effectiveness of delivering an evidence-based self-guided mHealth IPV brief intervention tool (UMAI-WINGS) to women from KAPs in Kazakhstan using an innovative community-coordinated response model. This study enrolled 508 women from KAPs, including 306 women from the intervention community, Almaty City, and 200 women from Almaty Oblast, the waitlist control community. The primary outcomes of experiencing any physical, sexual, or psychological IPV in the past 6 months were assessed at baseline and 6 months post-intervention (N=458). After adjusting for baseline, the IPV outcome and other covariates, intervention community participants were 22.1% less likely to report psychological IPV, 23.6% less likely to report sexual IPV, and 43.9% less likely to report physical IPV at the 6-month follow-up, compared to the waitlist control community participants. These findings suggest that a community-based approach to delivering UMAI-WINGS was acceptable, safe, and effective in reducing IPV among women from KAPs in Kazakhstan.
Women from key affected populations (KAPs) including women who use drugs, women who engage in sex work, and women living with HIV/AIDs in Kazakhstan experience extremely high rates of intimate partner violence (IPV) and encounter a myriad of barriers in accessing IPV services. This community-based implementation trial aimed to evaluate the acceptability, safety, and effectiveness of delivering an evidence-based self-guided mHealth IPV brief intervention tool (UMAI-WINGS) to women from KAPs in Kazakhstan using an innovative community-coordinated response model. This study enrolled 508 women from KAPs, including 306 women from the intervention community, Almaty City, and 200 women from Almaty Oblast, the waitlist control community. The primary outcomes of experiencing any physical, sexual, or psychological IPV in the past 6 months were assessed at baseline and 6 months post-intervention (N=458). After adjusting for baseline, the IPV outcome and other covariates, intervention community participants were 22.1% less likely to report psychological IPV, 23.6% less likely to report sexual IPV, and 43.9% less likely to report physical IPV at the 6-month follow-up, compared to the waitlist control community participants. These findings suggest that a community-based approach to delivering UMAI-WINGS was acceptable, safe, and effective in reducing IPV among women from KAPs in Kazakhstan.
Posted: 05 March 2025
Influenza Vaccination for Cancer Patients: An Algerian Single Center Experience
Assia Bensalem,
Meryem Boudjerda,
Nadjet Lachter,
Rym Sebia,
Abdellaziz Ammari,
Sihem Bensalem,
Djamel Bensaad,
Rym Mouallef,
Khouloud Brahimi,
Asma Seghir
Background: Viral infections are very severe infections and can be responsible for death, as is the case with influenza infection; which during a short period of spread can cause significant deaths in the general population, and in immunocompromised patients in particular; as is the case with cancer patients; weakened by the disease and viral infection too. Patients with cancer are at high risk of severe infections complications. Among people with immunosuppression due to chemotherapy, corticosteroid treatment, or immunotherapy, high rates of influenza infection and related complications are frequently observed. In Algeria, the influenza vaccine is recommended for people aged 65 and over, as well as for those with chronic medical conditions who are at high risk of complications. It is offered by the government free of charge to elderly and other risk groups and distributed through general hospitals and pharmacists Material and methods: The medical oncology department of the Establishment DIDOUCHE Mourad, Constantine, launched a vaccination campaign for eligible patients, during the vaccination campaign initiated by the Algerian Ministry of Health during seasonal infection from October to December, each year. During two (02) months of medical oncology consultations (November 2024 to December 2024), 2047 patients were consulted and 264 patients were concerned by the vaccination. The findings emphasize the crucial role of healthcare professionals in advocating for influenza vaccination among cancer patients and the need for collaboration with health authorities to improve vaccination coverage Results: For a total of 2047 patients consulted (whose 43 (2,10 %) were already vaccinated), 892 (43.57%) patients refused the idea of vaccination. 784 (38.29%) patients did not want to comment yet at the time of the consultation and preferred to continue their treatments, 53 (2.58%) were postponed for bone marrow aplasia. 11 (0.53%) patients had contraindications to vaccination including 3 (27.27%) egg allergy, 2 (18.18%) tuberculosis, 2 (18.18%) febril neutropenia ,2 (18.18%%) recent ischemic stroke (less than 20 days), 1 (9.09%) on treatment with Rituximab and 1 (9,09%) patient had a recent Guillan Barre Syndrom. (less than 6 weeks). 264 cancer patients ((12.89%) were included in the study of adherence to a vaccination campaign launched in medical oncology department of the hospital establishment DIDOUCHE Mourad, Constantine 189 (71.60%) patients were women and 75 (28.40%) patients were men. Different tumor localizations were noted. As a result, the influenza vaccination campaign coverage in our study was 13,17 % for all ages of cancer patients included and 48,86 % for those ≥ 65 years. Discussion: The influenza vaccination coverage was low among cancer patients. Influenza non-vaccination in the previous season was the strongest predictor of not receiving influenza vaccination in the current season. The main reasons for the low level of vaccination coverage rate that emerged in our study were having no-informations for indication to cancer patients (41,28%), fear of side effects (31,43%) getting medical treatment for cancer (chemotherapy, targeted therapy or immunotherapy ) (9,46%), lack of efficacy (9,09%), and no-need (8,71%). Nevertheless, after having informations and advice by medical oncologists, all patients stated that they will get vaccine next year. Conclusion: Vaccination against influenza in patients with cancer is a serious issue that presents many challenges, mainly in association with the immunocompromised state of these patients. Owing to disease and/or treatment-associated immunosuppression, patients with cancer are vulnerable to infectious diseases and are at high risk of developing infection- related complications, including those associated with influenza. Vaccination against common preventable diseases, including seasonal influenza, is therefore highly recommended in these patients.
Background: Viral infections are very severe infections and can be responsible for death, as is the case with influenza infection; which during a short period of spread can cause significant deaths in the general population, and in immunocompromised patients in particular; as is the case with cancer patients; weakened by the disease and viral infection too. Patients with cancer are at high risk of severe infections complications. Among people with immunosuppression due to chemotherapy, corticosteroid treatment, or immunotherapy, high rates of influenza infection and related complications are frequently observed. In Algeria, the influenza vaccine is recommended for people aged 65 and over, as well as for those with chronic medical conditions who are at high risk of complications. It is offered by the government free of charge to elderly and other risk groups and distributed through general hospitals and pharmacists Material and methods: The medical oncology department of the Establishment DIDOUCHE Mourad, Constantine, launched a vaccination campaign for eligible patients, during the vaccination campaign initiated by the Algerian Ministry of Health during seasonal infection from October to December, each year. During two (02) months of medical oncology consultations (November 2024 to December 2024), 2047 patients were consulted and 264 patients were concerned by the vaccination. The findings emphasize the crucial role of healthcare professionals in advocating for influenza vaccination among cancer patients and the need for collaboration with health authorities to improve vaccination coverage Results: For a total of 2047 patients consulted (whose 43 (2,10 %) were already vaccinated), 892 (43.57%) patients refused the idea of vaccination. 784 (38.29%) patients did not want to comment yet at the time of the consultation and preferred to continue their treatments, 53 (2.58%) were postponed for bone marrow aplasia. 11 (0.53%) patients had contraindications to vaccination including 3 (27.27%) egg allergy, 2 (18.18%) tuberculosis, 2 (18.18%) febril neutropenia ,2 (18.18%%) recent ischemic stroke (less than 20 days), 1 (9.09%) on treatment with Rituximab and 1 (9,09%) patient had a recent Guillan Barre Syndrom. (less than 6 weeks). 264 cancer patients ((12.89%) were included in the study of adherence to a vaccination campaign launched in medical oncology department of the hospital establishment DIDOUCHE Mourad, Constantine 189 (71.60%) patients were women and 75 (28.40%) patients were men. Different tumor localizations were noted. As a result, the influenza vaccination campaign coverage in our study was 13,17 % for all ages of cancer patients included and 48,86 % for those ≥ 65 years. Discussion: The influenza vaccination coverage was low among cancer patients. Influenza non-vaccination in the previous season was the strongest predictor of not receiving influenza vaccination in the current season. The main reasons for the low level of vaccination coverage rate that emerged in our study were having no-informations for indication to cancer patients (41,28%), fear of side effects (31,43%) getting medical treatment for cancer (chemotherapy, targeted therapy or immunotherapy ) (9,46%), lack of efficacy (9,09%), and no-need (8,71%). Nevertheless, after having informations and advice by medical oncologists, all patients stated that they will get vaccine next year. Conclusion: Vaccination against influenza in patients with cancer is a serious issue that presents many challenges, mainly in association with the immunocompromised state of these patients. Owing to disease and/or treatment-associated immunosuppression, patients with cancer are vulnerable to infectious diseases and are at high risk of developing infection- related complications, including those associated with influenza. Vaccination against common preventable diseases, including seasonal influenza, is therefore highly recommended in these patients.
Posted: 05 March 2025
Muscle Activation Differences Between CKCUEST and Modified CKCUEST: An EMG Analysis
Samuel Eloy Gutiérrez-Torre,
Miguel Ángel Lozano-Melero,
María Gómez-Jiménez,
Daniel Manoso-Hernando
Posted: 04 March 2025
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